Devices and methods for anchoring tissue

• US 20080051810A1
• Filed: 08/20/2007
• Published: 02/28/2008
• Est. Priority Date: 12/19/2003
• Status: Abandoned Application

• Current Assignee: Guided Delivery Systems, Inc.
• Original Assignee: Guided Delivery Systems, Inc.
• Inventors: Starksen, Niel, Im, Karl, Pliam, Nathan, To, John, Fabro, Mariel
• Application Number:
  US11/894,463
• Publication Number:
  US 20080051810A1
• Time in Patent Office: Days
• US Class Current: 606/151
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00783 Valvuloplasty
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0414 having a suture-receiving opening, e.g. lateral opening lateral eyelet for attaching suture to needle A61B2017/06019
• CPC Class Codes: A61B 2017/0443 the shaft being resilient and having a coiled or helical shape in the released state
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: A61F 2/2445 Annuloplasty rings in direct contact with the valve annulus

Abstract

Anchors, anchoring systems, anchor delivery devices, and method of using anchors are described. An anchor may be a flexible anchor having two curved legs that cross in a single turning direction to form a loop, wherein the legs are adapted to penetrate tissue. The ends of the curved legs may be blunt or sharp. The anchor can assume different configurations such as a deployed configuration and a delivery configuration, and the anchor may switch between these different configurations. In operation, the anchor may be inserted into tissue by releasing the anchor from a delivery configuration so that the anchor self-expands into the deployed configuration, so that the legs of the anchor may penetrate the tissue in a curved pathway.

Claims

1. A retrievable anchor having a collapsed undeployed configuration and an expanded deployed configuration, wherein the anchor has two legs having ends and wherein the legs of the anchor in both the undeployed and deployed configurations cross in a single turning direction from one end to the other end to form a loop, and wherein the anchor is collapsible from the deployed configuration to the undeployed configuration to enable retrievability.

2. The anchor of claim 1 wherein the ends of the legs are blunt.

3. The anchor of claim 1, wherein the ends of the legs are sharp.

4. The anchor of claim 1, wherein the anchor is made of a shape-memory material.

5. The anchor of claim 4, wherein the anchor comprises Nickel-Titanium Alloy.

6. The anchor of claim 1, wherein the anchor is made of a superelastic material.

7. The anchor of claim 1, wherein when the anchor is deployed in tissue, the anchor absorbs energy during dynamic loading of the tissue.

8. The anchor of claim 1, wherein at least a portion of the loop comprises a loop size limiting region that is less flexible than the legs.

9. The anchor of claim 1, wherein at least a portion of the anchor is coated with an agent.

10. The anchor of claim 9 wherein the agent is selected from the group consisting of an anti-inflammatory agent, an anti-coagulant agent, an anti-proliferative agent, and a pro-proliferative agent.

11. The anchor of claim 10 wherein the agent is a pro-proliferative agent.

12. The anchor of claim 1, wherein at least a portion of the anchor has a region of increased friction.

13. The anchor of claim 1, wherein the anchor comprises at least one sensor.

14. The anchor of claim 1, wherein the anchor comprises at least one electrode.

15. The anchor of claim 1, wherein the anchor is made from more than one material.

16. The anchor of claim 1, further comprising a constraining member.

17. The anchor of claim 16, wherein the constraining member is a sleeve.

18. The anchor of claim 1, further comprising one or more barbs or hooks.

19. The anchor of claim 1, wherein at least a portion of the anchor is coated with a lubricious material.

20. The anchor of claim 1, wherein at least a portion of the anchor is made of a biodegradable material.

21. The anchor of claim 1, wherein the anchor has a non-uniform thickness from end to end.

22. The anchor of claim 1, wherein at least a portion of the anchor is hollow.

23. The anchor of claim 1, wherein the anchor has at least two regions of different strength.

24. A method for securing an anchor to tissue comprising:

positioning an anchor adjacent to tissue, wherein the anchor has an undeployed configuration and a deployed configuration, the anchor in both the undeployed and deployed configurations comprising two legs having ends that cross in a single turning direction from one end to the other end to form a loop, and wherein the anchor is collapsible from the deployed configuration to the undeployed configuration to enable retrievability; and

deploying the anchor.

25. The method of claim 24, wherein the tissue is cardiac tissue.

26. The method of claim 25, wherein the anchor is deployed as part of an atrial septal defect closure procedure.

27. The method of claim 25, wherein the anchor is deployed as part of a valve repair procedure.

28. The method of claim 24, wherein the anchor is deployed as part of an aneurysm repair procedure.

29. The method of claim 24, wherein the anchor is deployed as part of a GERD procedure.

30. The method of claim 24, wherein the tissue is muscle tissue.

31. The method of claim 24, wherein the tissue is tissue of a hollow body organ.

32. The method of claim 24, further comprising collapsing the anchor.

33. The method of claim 32, further comprising retrieving the anchor.

34. The method of claim 24, further comprising deploying more than one anchor.

35. The method of claim 24, wherein the anchor is deployed as part of a bariatric procedure.

36. The method of claim 24, wherein the anchor is deployed under fluoroscopic guidance.

37. The method of claim 24, wherein the anchor is coupled to a tether.